Context: Clients making clinic visits related to reproductive health might benefit from participation with their partner. There is little information available, however, on whether either clients themselves or clinic staff would feel comfortable with such a possibility.

Methods: The Multnomah County Health Department Sexually Transmitted Disease Clinic in Portland, Oregon, conducted a survey of 237 new clients in June 1994 to assess clients' and providers' responses to the idea of offering couple visits.

Results: Twenty-six percent of female clients and 16% of male clients were accompanied by their partner on their visit to the clinic. Eighty-seven percent of all clients favored the clinic's offering couple visits, 5% opposed the concept and 8% were undecided. Fifty-four percent would have wanted their partner to be with them during their present visit if this choice had been offered, and 62% would want their partner to join them in follow-up couple visits if this were recommended by their provider. Seventy-one percent had already discussed with their partner the reason for their immediate clinic visit, and 88% expected to discuss the visit with their partner afterward. Attitudes toward couple services were similar for male and female clients and did not vary by race or ethnicity. For more than one-fifth of clients, clinic staff reported that they would not recommend couple visits; however, many of these clients reported that they would prefer being accompanied by their partner.

Conclusions: Appropriately designed couple-friendly options are likely to be generally accepted and moderately utilized by clients of varying backgrounds. Clinic staff may be more reluctant to involve clients' partners than the clients are themselves, however.

AUTHOR AFFILIATIONS

Ross Danielson is research director, Northeast Health Resource Center, Portland, OR. Anita Barbey is president, A.M. Barbey and Associates, Aurora, OR. Donna Cassidy is manager of the Multnomah County Health Department HIV Clinic, Portland, OR. Julie Rosenzweig is associate professor, School of Social Work, Portland State University, Portland, OR. Durre Chowdhury is associate professor in the Faculty of Medicine, Department of Community Medicine, Jordan University of Science and Technology, Irbid, Jordan. At the time that the research described in this article was conducted, Ross Danielson was adjunct associate professor and Durre Chowdhury was assistant professor, both in the Department of Public Health Education, Portland State University. The project described in this article was carried out by the staff of the Multnomah County Sexually Transmitted Disease Clinic, with the unreimbursed assistance of the authors. The authors gratefully acknowledge the resources contributed by their affiliated institutions, especially the Portland State University Faculty Resource Center. Stan Becker provided helpful comments on an early draft.